A 68-year-old being treated for depression has a history of a suicide attempt at age 26 . When the patient reports feelings of uselessness related to selling the family business and retiring, the nurse should initially:

a. notify the patient's health care provider of the intensified feelings of despair.
b. provide one-on-one time with the patient for the purpose of discussing the stated feelings.
c. alert other staff members of the need to increase the visual monitoring of this patient.
d. ask the patient if he is experiencing any suicidal ideations, including any plans to hurt himself.


D
Whenever there is a concern for suicide, the patient should be assessed immediately for ideations as well as plan. Risk is higher when there is a history of a suicide attempt and if the patient is over 65 years of age.

Nursing

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When a nurse suspects child abuse or neglect, which action must the nurse take?

a. Report it to the proper legal authority. b. Inform the parents that their actions are illegal. c. Call the security department to handle the problem. d. Prevent the parents from seeing the child during hospitalization.

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The nurse is preparing to draw blood from a client who states, "Oh, I hate needles. I hope I don't faint this time." The nurse should take which actions?

1. Have another nurse present. 2. Be sure to have aromatic spirits available. 3. Keep the client distracted while drawing the blood. 4. Ensure that the client is in a recumbent position.

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Which of the following conditions could be responsible for this heart rate?

A 68-year-old retired waiter comes to your clinic for evaluation of fatigue. You perform a cardiac examination and find that his pulse rate is less than 60. A) Second-degree A-V block B) Atrial flutter C) Sinus arrhythmia D) Atrial fibrillation

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Darbepoetin alfa has an advantage over erythropoietin in that it:

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